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JPhillips 08-17-2009 09:23 AM

Quote:

Originally Posted by Mac Howard (Post 2096822)
I think Jon had his tongue firmly in his cheek there, guys.

It is disturbing though when I see some of the distortions (for want of a better word) by the opposition to a universal system, usually aimed at the Canadian system (which I know nothing of). But is is worth repeating: We love our health care system. Particularly because of the peace of mind it brings that we need never avoid seeking medical help whenever we need it. That is priceless!

So don't let anyone ever tell you that people in these countries with nationwide systems would rather have a private only system.


Knowing that if I lose my job and my child gets sick that I would lose my home and face bankruptcy is just motivation for me to work harder. Enjoy your third-world healthcare you Aussie bitches.

Flasch186 08-17-2009 09:25 AM

/sarcasm, I hope

molson 08-17-2009 09:31 AM

Quote:

Originally Posted by JPhillips (Post 2096831)
Knowing that if I lose my job and my child gets sick that I would lose my home and face bankruptcy is just motivation for me to work harder. Enjoy your third-world healthcare you Aussie bitches.


Would losing your job immediately put you into the "poor" category where you you can get the government option for free under Obama's original plan? (Not sure where we are at this point with the news of the last few days). I think you'd still be shelling out for insurance out-of-pocket if you lost your job (and possibly before, if your job dropped healthcare as a benefit. Obama recently admitted that when he said, "if you like your current plan you can keep it", isn't literal, as in, the government won't make you switch, but he can't do anything to keep private companies from dropping insurance and making people pay for the "public option", which remember, is promised to be self sufficient, funded by premiums from the middle class that will pay for it.)

There's no "free health care for everyone" on the table. Even our administration apparently realizes that's not possible yet. The comparisons with Austrialia/U.K. aren't relevant because of that difference, but especially when we even now spend 2.5 times more on health care per capita than those countries do. No one's sure what that disparity would be if we just went to their identical system, but I think it's safe to say it would be many, many, many times more. Would Australia/UK still love their health care if they had to pay triple their taxes for the same or less quality of care?

Things are more expensive in America, for the federal government, than other countries. I'm not sure exactly why, but it definitely goes beyond health care.

There's a decent chance the "public option" would have been somewhat cheaper, and it might help to bring the cost of private insurance down (that 1-2 combo is probably the most beneficial part of the plan), Democrats are being just as dishonest as Republicans if they push this as some kind of Europe-like universal plan, because it's not.

Mac Howard 08-17-2009 09:31 AM

Quote:

Originally Posted by JPhillips (Post 2096831)
Knowing that if I lose my job and my child gets sick that I would lose my home and face bankruptcy is just motivation for me to work harder. Enjoy your third-world healthcare you Aussie bitches.


And I used to believe that Americans had the irony bone removed at birth :) (possibly too expensive? ;) )

Mizzou B-ball fan 08-17-2009 10:01 AM

I think I finally got my answer as to why the Democrats just don't go ahead and pass this bill through if they believe it to be best for the country. It appears at this point that even the Democrats can't decide on what they want at this point. They are their own worst enemy right now.

White House's Mixed Messages On "Public Option"

Howard Dean On Public Option: "You Can't Really Do Health Reform Without It"

Flasch186 08-17-2009 10:03 AM

Quote:

Originally Posted by molson (Post 2096836)
Would losing your job immediately put you into the "poor" category where you you can get the government option for free under Obama's original plan? (Not sure where we are at this point with the news of the last few days). I think you'd still be shelling out for insurance out-of-pocket if you lost your job (and possibly before, if your job dropped healthcare as a benefit. Obama recently admitted that when he said, "if you like your current plan you can keep it", isn't literal, as in, the government won't make you switch, but he can't do anything to keep private companies from dropping insurance and making people pay for the "public option", which remember, is promised to be self sufficient, funded by premiums from the middle class that will pay for it.)

There's no "free health care for everyone" on the table. Even our administration apparently realizes that's not possible yet. The comparisons with Austrialia/U.K. aren't relevant because of that difference, but especially when we even now spend 2.5 times more on health care per capita than those countries do. No one's sure what that disparity would be if we just went to their identical system, but I think it's safe to say it would be many, many, many times more. Would Australia/UK still love their health care if they had to pay triple their taxes for the same or less quality of care?

Things are more expensive in America, for the federal government, than other countries. I'm not sure exactly why, but it definitely goes beyond health care.

There's a decent chance the "public option" would have been somewhat cheaper, and it might help to bring the cost of private insurance down (that 1-2 combo is probably the most beneficial part of the plan), Democrats are being just as dishonest as Republicans if they push this as some kind of Europe-like universal plan, because it's not.


I'd hope that through compromise there would certainly be some facet of AFFORDABLE health care coverage for those who lose their employer subsidized insurance. I'd point back to my "millions of people' post as a burden we should not have to carry on our shoulders from birth to grave.

molson 08-17-2009 10:05 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2096859)
I think I finally got my answer as to why the Democrats just don't go ahead and pass this bill through if they believe it to be best for the country. It appears at this point that even the Democrats can't decide on what they want at this point. They are their own worst enemy right now.

White House's Mixed Messages On "Public Option"

Howard Dean On Public Option: "You Can't Really Do Health Reform Without It"


Good for Dean. I guess it's easy to talk when you're on the outside, but I have the sense that he's a little more genuine than Obama when it comes to the Democratic ideals. He wasn't as smooth on the mic though, so he didn't work out.

JPhillips 08-17-2009 10:05 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2096859)
I think I finally got my answer as to why the Democrats just don't go ahead and pass this bill through if they believe it to be best for the country. It appears at this point that even the Democrats can't decide on what they want at this point. They are their own worst enemy right now.

White House's Mixed Messages On "Public Option"

Howard Dean On Public Option: "You Can't Really Do Health Reform Without It"


It's taken you this long to realize that Democrats don't all have the same set of priorities?

Flasch186 08-17-2009 10:07 AM

Dean also put forth what is my biggest fear reinforced by Dick Armey's line today in regards to the possibility that GOP doesn't want compromise, period. That sucks for America.

molson 08-17-2009 10:09 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2096859)
I think I finally got my answer as to why the Democrats just don't go ahead and pass this bill through if they believe it to be best for the country. It appears at this point that even the Democrats can't decide on what they want at this point. They are their own worst enemy right now.

White House's Mixed Messages On "Public Option"

Howard Dean On Public Option: "You Can't Really Do Health Reform Without It"


The Dems being obsessed with having a unified front is exactly what this country doesn't need. I love that there's more than 2 strict ideas floating around now (or really, 1 strict idea and one party just attacking it).

Flasch186 08-17-2009 10:10 AM

I think there are multiple bills being talked about {shrug}

JPhillips 08-17-2009 10:11 AM

Quote:

Originally Posted by Flasch186 (Post 2096869)
Dean also put forth what is my biggest fear reinforced by Dick Armey's line today in regards to the possibility that GOP doesn't want compromise, period. That sucks for America.


Is today Obvious Day or something? Of course the bulk of GOP elected officials don't want a compromise. In a two party system the opposition benefits most greatly when the majority is ineffective. Sometimes that's overcome by a strong desire for reform(see NCLB), but as long as the media doesn't start blaming the minority for inaction there's very little reason for them to sacrifice such an obvious political win.

edit: That came out bitchier than I intended, but it's frustrating that there's even discussion as to whether the GOP is negotiating in good faith. Grassley has stated repeatedly that he doesn't want anything to pass.

Flasch186 08-17-2009 10:11 AM

except for the welfare of the country and constituents which in most cases comes from compromise from all involved.

JonInMiddleGA 08-17-2009 10:15 AM

Quote:

Originally Posted by Flasch186 (Post 2096875)
except for the welfare of the country and constituents which in most cases comes from compromise from all involved.


In this instance, this isn't one of those cases so we're probably good to go ;)
(I'm actually not kidding but the smiley should clarify that this particular comment is just a throwaway line for a possible giggle, not some jumping off point for debate)

In a related aside, it's actually kind of comforting to know that I don't have to worry much about my Rep. (Broun) getting into compromise mode. Saves me some worry as well as saves me from feeling compelled to spend much time reminding him that's not what he was elected to do.

Flasch186 08-17-2009 10:19 AM

LOL

flere-imsaho 08-17-2009 10:25 AM

Quote:

Originally Posted by Arles (Post 2094502)
In an attempt to get the discussion somewhat back on track - let me ask a question:

What exact problem(s) will a national health care plan resolve and how will it go about doing that? I still am fuzzy on what the actual goal of this plan is.


To be honest, I'm not sure anymore. It seems to morph day by day.

I've always been a proponent of the single-payer plan, because I've lived several years in a country that had one and I just think it's overwhelmingly the better way to provide health care to a nation. Better and, generally, more cost-effective.

I think the key, root problem in the U.S. system is the risk to ordinary people of extraordinary consequences. Pre-existing conditions meaning you can't get insured for something and you go bankrupt. Coverage loopholes meaning the insurance company ends up not paying for something and you go bankrupt. Very high deductibles for certain "unlikely" things that then show up and you go bankrupt. Whole groups of people who don't qualify for Medicaid but can't afford good insurance and run a daily risk of incurring a bill that causes them to go bankrupt. Etc....

I'm not really sure health insurance should be private, honestly. Unlike, say, auto or home insurance, where we pay against the potentially-zero possibility of an expensive event, I think what most people think they want out of health insurance is a vehicle that both spreads your outlay of money out to a predictable level (i.e. you pay a couple hundred a month so that, among other things, you don't have a bill for $20,000 when your baby is born) and also acts as a buffer against catastrophic events.

Quote:

Originally Posted by Arles (Post 2094520)
1. Extend unemployment insurance from 2-3 months to 6-8 months (item 2).
2. Work with private carriers to provide a government sponsored "safety net" plan for people making less than a certain amount. There are plans like this in many states, but just setup a federal tax subsidy to cover the premiums for those who qualify (puts a dent in many of the other items).
3. Provide tax credits for small business owners to purchase into a private plan.


These are fine but I'm sure most small business owners would prefer an option where they don't have to pay for health care at all. Imagine all the good workers small businesses lose out on because they can't provide good health care now?

Quote:

Originally Posted by molson (Post 2094530)
I always thought there should be a "medical bankruptcy". It seems silly to lump in people who bought houses and cars they can't afford with people who got sick. Maybe have some kind of government guarantee to pay the bills if a person goes through the medical bankruptcy process.


I like this too. But if you're going to start off in this direction, why not go single-payer, as that's essentially what you're describing?

Quote:

Originally Posted by molson (Post 2094572)
I actually think that's a good long term goal. For some reason the single-payer system scares me less than a complicated attempt to attempt to co-exist with the private sector.


Oh heck yes. Agreed 100%.

Quote:

The only problem of course, is that a single-payer system would mark the end of medical and technological developments in this country. As long as you have a richer, capitalist company and their corporations to leach off of (like everyone else in the world has with the U.S.), it's a great system. But who can we leech off of?

As I've stated before, this simply isn't true.

Quote:

Originally Posted by molson (Post 2094602)
Not disagreeing but asking - why aren't there cutting edge medical technologies and drugs coming from European states (or are they)? Why is it all American companies?


I can best speak for the pharma industry, where I have some experience. A lot of the more cutting-edge drugs (i.e. new approaches to medical problems, not incremental improvements of current treatments) are primarily produced in Europe because of the superior support EU member states provide for various types of R&D plus, critically, extensive clinical trials. For instance, much of the H1N1 vaccine development is being conducted in Europe at the moment for these very reasons.

Also note that the big pharma companies you know (Pfizer, GSK, Bayer, etc...) typically don't develop a lot of "breakthrough" drugs these days, in-house. They'll do increments of their blockbusters, but rely on acquisitions of small startups who happen upon pot-of-gold breakthrough drugs. This process operates a lot like the dot-coms did. Some guys will spend their own money (or some grant money as well) to try and find a cure for, say, the common cold. Now 90% of the time they're going to fail, but a group that comes up with a good treatment will then get bought by a big pharma after a bidding war and they'll all be able to retire.

From what I've seen, these small startups crop up all over the place, primarily in North American and Europe, but also in Aus/NZ, India, Japan, and some in South America. And of course they're bought by big pharmas who exist anywhere (but typically in the U.S. and Europe).

If Big Pharma, for whatever reason, suddenly has less money for Acquisitions (a budget expenditure typically far more reliably affected by profit margins than general R&D) then the result is likely to be that the purchase price in these bidding wars will be lower. But I very much doubt it will be low enough to keep these small startups from still trying to strike it rich, especially when in many cases part of their research will still be funded by government grants (moreso in Europe).

Quote:

Originally Posted by Arles (Post 2094690)
Now, some may say that's a bad thing (and many have). But, there's no way to avoid the fact that US price controls/rationing would throw a serious monkey wrench into R&D money for pharm companies (US and abroad).


You seem to be painting a picture that suddenly all the world's major paying markets for drugs will start buying drugs for cost only. That doesn't happen now, and it seems unlikely, to be honest.

Quote:

Originally Posted by Arles (Post 2095511)
However, if the same UK/Europe/Canada system is setup in the States, the profit margins will go down for a lot of these pharm companies. Past activity shows when this occurs than money spent in R&D will decrease to keep the profit margin/share price higher. Now, maybe the US should stop being the financier of drug companies. But the reality is that once that happens, a lot of dollars currently going into R&D for new drugs will dry up.


That's not my experience, to be honest. Acquisition dollars go down before R&D ones do, but both after the organization finds savings elsewhere (administration, marketing, IT, salaries, etc...).

Quote:

Originally Posted by Arles (Post 2096390)
For those wondering about the British NHS, here's an article on the major issues it faces moving forward:


The NHS is a terrible example, to be honest. The Thatcher/Major governments spent almost 20 years finding ways to subtly dismantle the NHS and the ensuring Labour government never took the time to do a root-and-branch reform of the system to recover from that, so it's limped on in a sort of half-assed nature since then.

Having said that, the quality of care I received from the NHS when I lived there in the mid/late-90s was just as good as the very good PPO plan I have in the U.S. now, which about a billion times less paperwork.

Quote:

Originally Posted by JPhillips (Post 2096687)
The Dems are married to seniority. The Rrpublicans would have ditched him or at least set up a killer primary opponent, but the Dems aren't going to do that. The Dems can't do much of anything but write sternly worded letters.


The Congressional Dems are the U.N. of American politics.

Mizzou B-ball fan 08-17-2009 10:33 AM

Interesting comment in this article. James Carville actually suggested that the Dems let the Republicans kill health care to save face and perhaps gain a minor political advantage since it doesn't appear that the Democrats will be able to construct a bill that they all agree on.

Health concession fuels blowback - Mike Allen - POLITICO.com

CamEdwards 08-17-2009 10:51 AM

I'd pay good money to see Cynthia McKinney and Tom DeLay dancing together.

Okay, maybe I wouldn't pay... but I'd probably watch it on YouTube.

Flasch186 08-17-2009 10:57 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2096890)
Interesting comment in this article. James Carville actually suggested that the Dems let the Republicans kill health care to save face and perhaps gain a minor political advantage since it doesn't appear that the Democrats will be able to construct a bill that they all agree on.

Health concession fuels blowback - Mike Allen - POLITICO.com


'since it doesnt appear that both sides will be able to construct a bill together that will help achieve the reform a vast majority of Americans want'

RainMaker 08-17-2009 10:57 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2096890)
Interesting comment in this article. James Carville actually suggested that the Dems let the Republicans kill health care to save face and perhaps gain a minor political advantage since it doesn't appear that the Democrats will be able to construct a bill that they all agree on.

Health concession fuels blowback - Mike Allen - POLITICO.com

Not going to work this time. The Dems could say it before when Bush was in office and/or they didn't have power. Kind of tough to say the Republicans stopped your plan when you have massive majorities in both the Senate and House, along with a Democratic President. They can't keep blaming Republicans forever.

RainMaker 08-17-2009 11:02 AM

Quote:

Originally Posted by Arles (Post 2096734)
I feel the government can help be a safety net in certain instances. When it comes to paying for unemployment coverage (ie, a few months after you lose your job), paying for coverage for people in poverty or kids under the age of 18 and helping seniors who are no longer employed afford coverage.

I don't see how being in favor of government subsidies/intervention in the above safety net situations means I have to then support the government providing coverage for people who currently have good coverage options. And, again, my preference is for the government to help pay the premiums and broker private options for the above cases, not go into the business of health care (but that ship has sailed with medicare).

It seems this viewpoint would be akin to saying that welfare should be given out to everyone regardless of employment/earnings. So, Bill Gates and an unemployed person in poverty should both get a welfare check for the same amount. It doesn't make sense here, yet people feel it should be the case for health insurance premiums.


It's just that you've railed against public options. You've stated how horrible other countries have it. The wait times, the costs, etc. Then you say you want 50% of our country to be under it. If the private way is so much better, shouldn't we want everyone to enjoy the vast benefits you have touted?

Mizzou B-ball fan 08-17-2009 11:06 AM

Quote:

Originally Posted by RainMaker (Post 2096918)
Not going to work this time. The Dems could say it before when Bush was in office and/or they didn't have power. Kind of tough to say the Republicans stopped your plan when you have massive majorities in both the Senate and House, along with a Democratic President. They can't keep blaming Republicans forever.


I'd agree. They've gone too far down this path to back down now and blame the Republicans. The Democrats have to continue to fight this out within their own ranks to make it work.

Flasch186 08-17-2009 11:12 AM

right the GOP have had nothing to do with where we are today.

molson 08-17-2009 11:16 AM

Quote:

Originally Posted by Flasch186 (Post 2096933)
right the GOP have had nothing to do with where we are today.


Still waving the party flag? They failed you.

RainMaker 08-17-2009 11:18 AM

The major difference between the parties is the Republicans fall in line much easier. Bush wanted something and it got done. Didn't matter if it was a moderate or conservative Republican. They cut deals, made concessions with one another, but ultimately got shit done.

They also weren't so fucking disorganized. I can't remember them ever putting out a bill that hadn't been vetted by members of Congress beforehand and they knew what the reaction would be from their own party. Seems amateurish to put out a bill and then have your own party shit all over it. Why wasn't a lot of this stuff discussed in private beforehand? Reminds me of the first TARP that got rejected in the House. Can't fathom that happening under a Republican controlled House.

Sadly, the Democrats need someone with more power at the top of the Senate and House. A guy like Tom Delay who would just get shit through one way or another. Not sure who in the party has that kind of weight though. A Jim Webb would be good at it for the Senate while someone like Dave Obey would be a great leader in the House.

RainMaker 08-17-2009 11:23 AM

Quote:

Originally Posted by SteveBollea (Post 2096941)
To quote Will Rogers, "I'm not a member of an organized political party. I'm a Democrat."

But, the problem is deeper than that. The Republicans are a _party_, the Democrats are a _coalition._ In no other nation in the world would Ben Nelson and Ted Kennedy be in the same party.

The same can be said about Sam Brownback and Olympia Snowe. Our two party system is just fucked up and unfortunately we have no way out of it. With that said, if you want to get shit done, you have to play within those rules and the Democrats can't seem to figure it out.

Flasch186 08-17-2009 11:23 AM

Quote:

Originally Posted by molson (Post 2096937)
Still waving the party flag? They failed you.


The Democratic party havnt failed me or you, NOTHING has been put to a vote yet! Jesus, this isnt about winning and losing.

ISiddiqui 08-17-2009 12:34 PM

Quote:

Originally Posted by JPhillips (Post 2096686)
Obama certainly did need the centrists to pass the stimulus. Remember that Franken hadn't been seated and the new rule in the Senate is that everything takes sixty votes to pass.


WTF?! There was little to no attempts to filibuster the stimulus bill. McConnell spoke aloud about it, but there was no way in Hell he was going to get 41 votes to stall the bill.

flere-imsaho 08-17-2009 12:41 PM

Quote:

Originally Posted by RainMaker (Post 2096938)
Sadly, the Democrats need someone with more power at the top of the Senate and House. A guy like Tom Delay who would just get shit through one way or another. Not sure who in the party has that kind of weight though. A Jim Webb would be good at it for the Senate while someone like Dave Obey would be a great leader in the House.


Well, imagine if Tip O'Neill was Speaker. He wouldn't stand for this crap.

Actually, imagine if Rahm was Speaker, as was his original ambition. LOL :D

RainMaker 08-17-2009 12:46 PM

Quote:

Originally Posted by flere-imsaho (Post 2097000)
Well, imagine if Tip O'Neill was Speaker. He wouldn't stand for this crap.

Actually, imagine if Rahm was Speaker, as was his original ambition. LOL :D

Rahm would have been perfect for that role.

Arles 08-17-2009 01:43 PM

Quote:

Originally Posted by RainMaker (Post 2096925)
It's just that you've railed against public options. You've stated how horrible other countries have it. The wait times, the costs, etc. Then you say you want 50% of our country to be under it.

What? Seniors and uninsured poverty/kids under the age of 18 are 50% of the population? This must be the dust bowl.

I'm not a fan of medicare, but I think that we should have some option for uninsured kids and seniors. Kids because it's hard for a 5-year old to fill out paperwork for insurance or find a job. Seniors because of the pre-existing conditions that will often disqualify them from current private plans (I would prefer a reform on private plans for seniors to medicare, but as I said above that ship has sailed).

Outside of Medicare (which is its own beast right now), we're talking about maybe 5-10% of the population who fall into uninsured kids or people in poverty without insurance. 80-90+% of kids have insurance from their parents and won't even need to partake in it. Plus, we already have a ton of state systems that help cover uninsured kids right now.

Setting up a federal plan to cover kids who aren't insured (very few), stipends/credits to those who can't afford coverage (poverty, small business owners, don't get it from their employer) and an extension of unemployment coverage for those who lost their jobs will be minimal cost when compared to whatever the bill of the day is in congress. The beauty of this is that only a comparative small number will be taking advantage of this plan as you either need to be an uninsured kid, in poverty, recently laid off or small business owner/hourly worker/other to qualify. Yet, it would put a dent in the number of uninsured people and give us a starting point if increasing coverage is a concern (as has been stated numerous times in this thread). After this effort, the focus can shift to improving the infrastructure and working on cost issues (which there also many simple things that can be done from opening state-to-state competition to dealing with the medical malpractice elephant to other ideas).

This won't involve massive waits or a change to the system as 80+% will still be under their same employer provided plans. It will just give options to many people who don't have any now (and some of whom will still probably not take advantage of for various reasons). There's no real government health care plan (outside of maybe the uninsured kid piece), the majority is tax credits/stipends for people to use to buy their own. The problem we have now is waiting to fix everything with a magic wand instead of taking a more measured approach and dealing with each area as its own bill/problem.

Quote:

If the private way is so much better, shouldn't we want everyone to enjoy the vast benefits you have touted?
That's exactly what I am saying. Outside of Medicare (which we can't change even if we wanted) and some minor uninsured kids plans (many of which already exist), all I am doing is providing government funds to select people who simply can't afford private premiums. So, I'm basically finding a way to add them to the current private way. Again, it's not optimal, but it's the best alternative if increasing coverage is your goal.

Arles 08-17-2009 01:51 PM

Quote:

Originally Posted by RainMaker (Post 2096938)
The major difference between the parties is the Republicans fall in line much easier. Bush wanted something and it got done. Didn't matter if it was a moderate or conservative Republican. They cut deals, made concessions with one another, but ultimately got shit done.

The difference is that the republicans are split on social issues (ie abortion, gay marriage/unions and stem cells). Democrats are split on fiscal/industry issues. If you want a bill on abortion, it will sail right through for democrats. If you want a bill on tax cuts/health care reform, the republicans will be united. However, a bill on abortion would get hosed in the republican machine (depending on the scope) just as a bill on fiscal policy/health care reform will get caught in the gears of the democratic party.

There's also a lot of pressure on the clear majority (esp in a recession). It hosed the republicans in the early 90s and seems to be hammering the democrats now. Just like the republicans in 1991, the democrats can *do* whatever they want - they (esp Obama) are just smart enough to know that things aren't going to change much before the next election cycle and they will need some coverage to keep the majority. Politics isn't (and hasn't been for years) about "doing the right thing", it's about doing something that helps you keep your job.

RainMaker 08-17-2009 01:58 PM

Quote:

Originally Posted by Arles (Post 2097028)
The difference is that the republicans are split on social issues (ie abortion, gay marriage/unions and stem cells). Democrats are split on fiscal/industry issues. If you want a bill on abortion, it will sail right through for democrats. If you want a bill on tax cuts/health care reform, the republicans will be united. However, a bill on abortion would get hosed in the republican machine (depending on the scope) just as a bill on fiscal policy/health care reform will get caught in the gears of the democratic party.

There's also a lot of pressure on the clear majority (esp in a recession). It hosed the republicans in the early 90s and seems to be hammering the democrats now. Just like the republicans in 1991, the democrats can *do* whatever they want - they (esp Obama) are just smart enough to know that things aren't going to change much before the next election cycle and they will need some coverage to keep the majority. Politics isn't (and hasn't been for years) about "doing the right thing", it's about doing something that helps you keep your job.

I don't know about that. Republicans spent a shitload of money this decade and expanded socialized medicine more than Obama has. Republicans seem to be united more, but it's dependent on what the President wants. President wanted big spending and they obliged. Democrat gets in power and they're about reform.

RainMaker 08-17-2009 02:04 PM

Quote:

Originally Posted by Arles (Post 2097025)
What? Seniors and uninsured poverty/kids under the age of 18 are 50% of the population? This must be the dust bowl.

I'm not a fan of medicare, but I think that we should have some option for uninsured kids and seniors. Kids because it's hard for a 5-year old to fill out paperwork for insurance or find a job. Seniors because of the pre-existing conditions that will often disqualify them from current private plans (I would prefer a reform on private plans for seniors to medicare, but as I said above that ship has sailed).

Outside of Medicare (which is its own beast right now), we're talking about maybe 5-10% of the population who fall into uninsured kids or people in poverty without insurance. 80-90+% of kids have insurance from their parents and won't even need to partake in it. Plus, we already have a ton of state systems that help cover uninsured kids right now.

Setting up a federal plan to cover kids who aren't insured (very few), stipends/credits to those who can't afford coverage (poverty, small business owners, don't get it from their employer) and an extension of unemployment coverage for those who lost their jobs will be minimal cost when compared to whatever the bill of the day is in congress. The beauty of this is that only a comparative small number will be taking advantage of this plan as you either need to be an uninsured kid, in poverty, recently laid off or small business owner/hourly worker/other to qualify. Yet, it would put a dent in the number of uninsured people and give us a starting point if increasing coverage is a concern (as has been stated numerous times in this thread). After this effort, the focus can shift to improving the infrastructure and working on cost issues (which there also many simple things that can be done from opening state-to-state competition to dealing with the medical malpractice elephant to other ideas).

This won't involve massive waits or a change to the system as 80+% will still be under their same employer provided plans. It will just give options to many people who don't have any now (and some of whom will still probably not take advantage of for various reasons). There's no real government health care plan (outside of maybe the uninsured kid piece), the majority is tax credits/stipends for people to use to buy their own. The problem we have now is waiting to fix everything with a magic wand instead of taking a more measured approach and dealing with each area as its own bill/problem.


That's exactly what I am saying. Outside of Medicare (which we can't change even if we wanted) and some minor uninsured kids plans (many of which already exist), all I am doing is providing government funds to select people who simply can't afford private premiums. So, I'm basically finding a way to add them to the current private way. Again, it's not optimal, but it's the best alternative if increasing coverage is your goal.


I'd bet that seniors and kids equate well over half the health care spending in this country.

The rest of your ideas that you presented was pretty close to what Obama presented. Why are you opposed to it again?

Arles 08-17-2009 02:07 PM

Well, the Bush medicare bill was also a "reform", just a poorly constructed one. The problem with health care is that the democrats themselves are split when it comes to a public option. If you can't get a clear purpose on a bill within your own party, it's going to be hard to sell it to the public/other side of congress.

If Obama would have just come out in June and said "We need a bill that includes specific items X, Y and Z (ie, public option)", I think the democrats would have fallen in line. He didn't want to do that, though, because he knew the public wasn't a big fan of the public option and he didn't want to be tied to specific items in the bill (in the event they needed to be cut to land his "victory" on health care). So, while that may have been more politically expedient for Obama long term, it pretty much sunk the health care debate. These poor democratic congressmen were forced to defend every aspect of all 20 bills in congress in these town halls because they didn't know what Obama wanted in the final version (or what would be there).

Bush, for all his warts, was very specific on what he wanted (for better or worse) and that's why it was easier for republicans to fall in line. It's hard to back the president when you don't even know specifically what he wants.

JPhillips 08-17-2009 02:08 PM

Quote:

Originally Posted by ISiddiqui (Post 2096989)
WTF?! There was little to no attempts to filibuster the stimulus bill. McConnell spoke aloud about it, but there was no way in Hell he was going to get 41 votes to stall the bill.


The cloture vote was 60-36 with Collins, Snowe and Specter voting for, Franken unseated and a couple non-voters. The only reason McConnell couldn't get 40 votes was because of the compromise bill negotiated by the moderates.

ISiddiqui 08-17-2009 02:12 PM

Collins, Snowe, and Specter would have ALWAYS voted against cloture. Collins and Snowe are not the type to filibuster anything, even if they disagree.

Arles 08-17-2009 02:13 PM

Quote:

Originally Posted by RainMaker (Post 2097035)
I'd bet that seniors and kids equate well over half the health care spending in this country.

You're not following. I would prefer a private system for seniors, but we have medicare and it's not going anywhere (I feel like I'm repeating myself a lot here). For kids, I'm in favor of a publicly sponsored option for CURRENTLY UNINSURED KIDS. That number is estimated to be about 8 million nationally. A pretty far cry from half the spending. Plus, we already have the CHIP program and numerous state-run coverage plans for kids. I'm just ensuring there are no cracks for the remaining few kids who currently can't get coverage (which is well under 8 million total).

Quote:

The rest of your ideas that you presented was pretty close to what Obama presented. Why are you opposed to it again?
As long as it doesn't have a public option, I'm not necessarily against it. The co-op idea by the "gang of six" appears (per the CBO) to be much more fiscally responsible and offer help in landing private options. Given the alternatives a month ago, I think it's a step in the right direction.

RainMaker 08-17-2009 02:13 PM

Quote:

Originally Posted by Arles (Post 2097039)
Well, the Bush medicare bill was also a "reform", just a poorly constructed one. The problem with health care is that the democrats themselves are split when it comes to a public option. If you can't get a clear purpose on a bill within your own party, it's going to be hard to sell it to the public/other side of congress.

If Obama would have just come out in June and said "We need a bill that includes specific items X, Y and Z (ie, public option)", I think the democrats would have fallen in line. He didn't want to do that, though, because he knew the public wasn't a big fan of the public option and he didn't want to be tied to specific items in the bill (in the event they needed to be cut to land his "victory" on health care). So, while that may have been more politically expedient for Obama long term, it pretty much sunk the health care debate. These poor democratic congressmen were forced to defend every aspect of all 20 bills in congress in these town halls because they didn't know what Obama wanted in the final version (or what would be there).

Bush, for all his warts, was very specific on what he wanted (for better or worse) and that's why it was easier for republicans to fall in line. It's hard to back the president when you don't even know specifically what he wants.

If by reform you mean letting drug companies pick their own price, then yes, it was reform. The Medicare was a bloated pile of shit that did nothing but make a ton of money for big Pharma. It's no secret that many of the Congressmen behind the bill went on to cushy million dollar jobs with those companies.

Obama would have been better off crafting a bill he liked and discussing it in private with the leaders in the Democratic party. Moderates and liberals alike. Get a consensus and a bill that the party would support. Then come out with a united front and 60% of Congress behind it. When you come out and put up a strong offensive, you have a better shot at winning. Bush did that with whatever he wanted passed.

RainMaker 08-17-2009 02:19 PM

Quote:

Originally Posted by Arles (Post 2097046)
You're not following. I would prefer a private system for seniors, but we have medicare and it's not going anywhere (I feel like I'm repeating myself a lot here). For kids, I'm in favor of a publicly sponsored option for CURRENTLY UNINSURED KIDS. That number is estimated to be about 8 million nationally. A pretty far cry from half the spending. Plus, we already have the CHIP program and numerous state-run coverage plans for kids. I'm just ensuring there are no cracks for the remaining few kids who currently can't get coverage (which is well under 8 million total).

Do you really think a private system works for seniors? Do you have any idea what the rates would be? You'd be looking at 70 and 80 year olds paying up to $40,000 a year in health insurance. What percent of seniors can swing that? On top of dealing with all the hassles that come with insurance companies. Considering private insurers can drop you at your renewal rate, we'd be seeing a lot of seniors with serious illnesses and no health insurance.

Private option may work for the average 18-60 year old, but over 60 it's just too much trouble. You need the rest of society pitching in to help them out. You can't honestly believe there is a way to create a private system for the elderly.

RainMaker 08-17-2009 02:22 PM

You also have this belief that everyone on insurance is somehow taken care of. Insurance is great if you don't really get sick much, but if you're unhealthy, it's a different ball game. Ask anyone who's had extended hospital stays how hard it was to get their bills paid for. Or those who needed treatments prescribed by doctors that insurance companies just didn't want to pay for. The minute you start costing the insurance company a lot of money, they turn into shitbags that are nearly impossible to work with.

JPhillips 08-17-2009 02:23 PM

Quote:

Originally Posted by ISiddiqui (Post 2097044)
Collins, Snowe, and Specter would have ALWAYS voted against cloture. Collins and Snowe are not the type to filibuster anything, even if they disagree.


Maybe so, but the cuts in the final bill were made to appease them so they would vote for cloture. The cuts didn't materialize out of thin air.

JPhillips 08-17-2009 02:25 PM

Quote:

Originally Posted by RainMaker (Post 2097047)
If by reform you mean letting drug companies pick their own price, then yes, it was reform. The Medicare was a bloated pile of shit that did nothing but make a ton of money for big Pharma. It's no secret that many of the Congressmen behind the bill went on to cushy million dollar jobs with those companies.

Obama would have been better off crafting a bill he liked and discussing it in private with the leaders in the Democratic party. Moderates and liberals alike. Get a consensus and a bill that the party would support. Then come out with a united front and 60% of Congress behind it. When you come out and put up a strong offensive, you have a better shot at winning. Bush did that with whatever he wanted passed.


That plan didn't work so well when Clinton tried it.

Arles 08-17-2009 02:26 PM

Quote:

Originally Posted by RainMaker (Post 2097050)
Do you really think a private system works for seniors? Do you have any idea what the rates would be? You'd be looking at 70 and 80 year olds paying up to $40,000 a year in health insurance. What percent of seniors can swing that? On top of dealing with all the hassles that come with insurance companies. Considering private insurers can drop you at your renewal rate, we'd be seeing a lot of seniors with serious illnesses and no health insurance.

Private option may work for the average 18-60 year old, but over 60 it's just too much trouble. You need the rest of society pitching in to help them out. You can't honestly believe there is a way to create a private system for the elderly.

I think it would still cost the government a ton, but I think private insurance companies could run health care for seniors. It would just be that a large percentage of the premiums would be paid by the gov't and there would need to be other qualifiers (restrictions on dropping and so forth). I doubt it would cost any more than what we are paying now, but it would be similar. At the end of the day, health care for seniors is always going to be expensive and Medicare isn't going anywhere. So, it's a fairly pointless debate.

JPhillips 08-17-2009 02:27 PM

Quote:

Originally Posted by Arles (Post 2097056)
I think it would still cost the government a ton, but I think private insurance companies could run health care for seniors. It would just be that a large percentage of the premiums would be paid by the gov't and there would need to be other qualifiers (restrictions on dropping and so forth). I doubt it would cost any more than what we are paying now, but it would be similar. At the end of the day, health care for seniors is always going to be expensive and Medicare isn't going anywhere. So, it's a fairly pointless debate.


The Medicare Advantage plan does essentially what you are proposing, but costs significantly more per person than Medicare.

Arles 08-17-2009 02:30 PM

Quote:

Originally Posted by JPhillips (Post 2097055)
That plan didn't work so well when Clinton tried it.

They didn't have near the margins in the house and senate they have now. Plus, their plan was extremely unpopular. I think if Obama had come out with a specific bill he wanted in the summer, there's a strong chance it would have passed by now.

But, I think that experience Clinton had scared Obama and he was hoping he could just grease a final bill through (just on sheer numbers in congress) without ever having to stick his neck out on certain specifics.

In a broader context, I see this as a problem that will continue to pop up. You can't work multiple sides of an issue and then act surprised when a specific side is chosen for a bill and there's disagreement. Either Obama needs to set a specific agenda for what he wants congress to pass or this will keep happening again and again.

RainMaker 08-17-2009 02:36 PM

Quote:

Originally Posted by Arles (Post 2097056)
I think it would still cost the government a ton, but I think private insurance companies could run health care for seniors. It would just be that a large percentage of the premiums would be paid by the gov't and there would need to be other qualifiers (restrictions on dropping and so forth). I doubt it would cost any more than what we are paying now, but it would be similar. At the end of the day, health care for seniors is always going to be expensive and Medicare isn't going anywhere. So, it's a fairly pointless debate.

Well the private insurance industry has helped us have double the health care costs of nearly every major country in the world. Why do you have this idea that private means cheaper in health care? Especially considering these companies are relative monopolies in their regions.

Private only works in true free markets. Health care is not and the insurance companies and pharmaceutical companies like it that way. What you want is a private plan in an industry that is built so these companies can't lose.

JPhillips 08-17-2009 02:37 PM

Quote:

Originally Posted by Arles (Post 2097060)
They didn't have near the margins in the house and senate they have now. Plus, their plan was extremely unpopular. I think if Obama had come out with a specific bill he wanted in the summer, there's a strong chance it would have passed by now.

But, I think that experience Clinton had scared Obama and he was hoping he could just grease a final bill through (just on sheer numbers in congress) without ever having to stick his neck out on certain specifics.

In a broader context, I see this as a problem that will continue to pop up. You can't work multiple sides of an issue and then act surprised when a specific side is chosen for a bill and there's disagreement. Either Obama needs to set a specific agenda for what he wants congress to pass or this will keep happening again and again.


I agree that the Clinton experience has played a big part in how this was (mis)handled, but I still think it's important to point out that a public option would likely pass an up or down vote. The problem is Max Baucus and a handful of Senators that apparently won't vote for cloture.

ISiddiqui 08-17-2009 02:38 PM

Quote:

Originally Posted by JPhillips (Post 2097053)
Maybe so, but the cuts in the final bill were made to appease them so they would vote for cloture. The cuts didn't materialize out of thin air.


The cuts were to get them to vote for the final bill to call it "bipartisan", NOT to get them to vote for cloture. If the later was what was intended, then I have a far lesser view of the Obama Administration's political acumen than I previous had.

Arles 08-17-2009 02:43 PM

Quote:

Originally Posted by JPhillips (Post 2097058)
The Medicare Advantage plan does essentially what you are proposing, but costs significantly more per person than Medicare.

It often costs more because it covers more than medicare (ie, prescription drugs, dental care, vision care and health club membership), plus there's out of network fees like normal plans (so, if your current doctor is out of network, it will cost more). That was needed in order to get people to switch from traditional medicare+medigap plans. Plus, because these plans are with companies for profit, there's more incentive to put cost and quality control measures in place, and more freedom to tie innovative care strategies to payment (ie, certain preventive measures).

For example, the Berensen and Dowd survey found that 99% of private plans used some type of disease management program in 2000, whereas CMS is considering terminating an ongoing disease management demonstration in traditional Medicare because it has been so unsuccessful. So, long term, it could end up costing less and atleast there's a reason for these plans to control cost (ie, they are for profit).

Arles 08-17-2009 02:48 PM

Quote:

Originally Posted by RainMaker (Post 2097063)
Well the private insurance industry has helped us have double the health care costs of nearly every major country in the world. Why do you have this idea that private means cheaper in health care? Especially considering these companies are relative monopolies in their regions.

At some point in time, this country is going to have to deal with the obesity/fast food/lack of exercise culture we've created for most of the 300+ million citizens we have. If this doesn't improve, no program will make a difference.

It's amazing to me that people think that switching to a government-run single payer system with little incentive for cost control, run by people trying to stay elected in congress and covering 40+ million people more than are currently covered will somehow significantly reduce the cost for heath care.

Health care is not for healthy people, it's for sick people. And, the ugly truth is the traditional American lifestyle leads to significantly more sick people than other cultures. Add that to the problem of scope (10-times plus more people than Canada or other European countries) and you have a problem that is systemic to our culture and not just because drug companies and hospitals want to "stick it to use".

JPhillips 08-17-2009 02:49 PM

Quote:

Originally Posted by ISiddiqui (Post 2097065)
The cuts were to get them to vote for the final bill to call it "bipartisan", NOT to get them to vote for cloture. If the later was what was intended, then I have a far lesser view of the Obama Administration's political acumen than I previous had.


It wasn't just to get those three Republicans. Nelson, Landrieu, McCaskill and Lieberman were reluctant about one trillion also. From the Huffington Post:

Quote:

The final package, said Nelson, is likely to be significantly lower. "I think it will be below 800 [billion]. For me it's not symbolism, it's an economic matter. At some point it's just too big," he said. Asked by the Huffington Post if that meant he thought 800 billion was the specific point at which it was too big, he said, "It's whatever gets 60 votes, 61 votes."

flere-imsaho 08-17-2009 03:31 PM

LOL

Surtt 08-17-2009 03:31 PM

Quote:

Originally Posted by Arles (Post 2097069)
It's amazing to me that people think that switching to a government-run single payer system with little incentive for cost control, run by people trying to stay elected in congress and covering 40+ million people more than are currently covered will somehow significantly reduce the cost for heath care.


I guess the bottom line is it works in other countries.

RainMaker 08-17-2009 03:33 PM

Quote:

Originally Posted by Arles (Post 2097069)
At some point in time, this country is going to have to deal with the obesity/fast food/lack of exercise culture we've created for most of the 300+ million citizens we have. If this doesn't improve, no program will make a difference.

It's amazing to me that people think that switching to a government-run single payer system with little incentive for cost control, run by people trying to stay elected in congress and covering 40+ million people more than are currently covered will somehow significantly reduce the cost for heath care.

Health care is not for healthy people, it's for sick people. And, the ugly truth is the traditional American lifestyle leads to significantly more sick people than other cultures. Add that to the problem of scope (10-times plus more people than Canada or other European countries) and you have a problem that is systemic to our culture and not just because drug companies and hospitals want to "stick it to use".


Obesity aside, we pay more for basic features. We pay more for prescriptions than just about every other country in the world. We also pay more for basic tests. MRI here can be thousands while in Japan it's under $100. Doctors, insurance companies, and pharmaceutical companies have created all the rules to milk the most out of the consumer in this country. Our country built our system for them, not us.

Arles 08-17-2009 03:57 PM

Hey, if you want to take a look at billed costs to insurance companies, I'm all for it. I think there's a lot of room there for improvement. One of the guys I work with had the option of paying $2500 cash for a procedure his dad had or see if the insurance would cover 80%. The problem was if he didn't pay cash, they would bill the insurance company $9,000 for it and he would be stuck paying what wasn't covered. The fact that the same procedure is $2500 without insurance that is $9,000 with insurance tells me there are some things that can be done here. But, I don't know that you need to switch over to a public system to deal with it.

Arles 08-17-2009 04:02 PM

Quote:

Originally Posted by Surtt (Post 2097087)
I guess the bottom line is it works in other countries.

Which country has 300 million people, with 2/3 of their adults listed as obese? If that country has a better plan, let's check it out!

JPhillips 08-17-2009 04:57 PM

Quote:

Originally Posted by Arles (Post 2097102)
Hey, if you want to take a look at billed costs to insurance companies, I'm all for it. I think there's a lot of room there for improvement. One of the guys I work with had the option of paying $2500 cash for a procedure his dad had or see if the insurance would cover 80%. The problem was if he didn't pay cash, they would bill the insurance company $9,000 for it and he would be stuck paying what wasn't covered. The fact that the same procedure is $2500 without insurance that is $9,000 with insurance tells me there are some things that can be done here. But, I don't know that you need to switch over to a public system to deal with it.


Most of the time the opposite is true. The uninsured are regularly billed far more than the insured.

JPhillips 08-17-2009 06:35 PM

At least twelve people outside of Obama's event today in AZ had guns including at least one assault rifle. Will any GOP elected official dampen the increasing rage on the right?

Flasch186 08-17-2009 08:24 PM

More disappointing to me is that the GOP seems to be 'unmoved' by the talk of a compromise from the left and is, IMO, IMO, only looking for the 'win'.

I wonder if the left will try to push the 'see we tried to compromise and they didnt want to' card. sigh.

DaddyTorgo 08-17-2009 09:14 PM

what a frigging mess *sighs*

DaddyTorgo 08-17-2009 09:15 PM

fucking healthcare needs to be fucking fixed too. ugh

Flasch186 08-17-2009 09:36 PM

BTW, no one can argue about whether or not there is the possibility of danger or threat at the town halls now. Those pussies (/sarcasm) ought to be cancelling them when people start showing up with guns and semi automatic rifles. It's their right, and its the politicians right to avoid disaster.

RainMaker 08-17-2009 09:43 PM

Quote:

Originally Posted by JPhillips (Post 2097175)
At least twelve people outside of Obama's event today in AZ had guns including at least one assault rifle. Will any GOP elected official dampen the increasing rage on the right?

Here is the article on it:

Terms of Service

I'm all for being able to bear arms and protect your home. Never understood the "manliness" of walking around with a gun though. I mean how small does your dick have to be or what kind of a pussy would you have to be in a fight to carry one around with you everyday for protection?

JonInMiddleGA 08-17-2009 10:14 PM

Quote:

Originally Posted by JPhillips (Post 2097175)
Will any GOP elected official dampen the increasing rage on the right?


Outside of a few RINO's, I can't imagine any that don't want to be the target of the anger themselves nor want to put their re-election at risk.

Meanwhile, this has got to be one of the greatest pictures I've seen in my lifetime. Among my first thoughts (wrestling fans will get it) was "Why is Taz carrying a gun in Arizona".

SirFozzie 08-17-2009 11:18 PM

Gives new meaning to the phrase, BEat Him if you can, survive if he lets you.

sterlingice 08-17-2009 11:31 PM

Quote:

Originally Posted by flere-imsaho (Post 2097086)


I enjoyed reading quite a few of those :)

SI

Arles 08-18-2009 01:39 AM

Quote:

Originally Posted by SteveBollea (Post 2097347)
First, I think Jesus could come down and say we need single-payer and Arles would find some way to weasel out of it. Not even dealing with the fact single-payer isn't the plan. Here's the plan in simple flow-chart form.

I guess we're to the point where we stop reading what each other write and stumble forward with our rally cries. I stated this new "non-public" plan is a step in the right direction and once I see more information on it - I very well may support it.

As to the question of "What would Jesus do?": I'm not a fan of a single payer plan. Numerous people in this thread have stated their desire to see a single payer plan (ie, other countries do it, why can't we?) and I have simply been responding. But I am nowhere near the health czar that you are, so maybe you can show me the virtues of a single payer system and force me to repent.

Mizzou B-ball fan 08-18-2009 07:21 AM

It's becoming increasingly obvious that the Democrats have no one to blame but themselves for not getting some form of health care changes passed through Congress. It's awfully hard to blame the minority opposition for the lack of action when the Democrat aren't even able to provide a unified opinion at this point.

Some Key Democrats Say Public Option is Essential to Health-Care Reform - washingtonpost.com

Quote:

Public Option Called Essential
Democratic Lawmakers Express Concern

By Anne E. Kornblut and Perry Bacon Jr.
Washington Post Staff Writers
Tuesday, August 18, 2009

Several leading Democrats voiced concern Monday about an apparent White House shift on health-care reform, objecting to signals from senior administration officials that they would abandon the idea of a government-run insurance plan if it lacked the backing to pass Congress.

In the Senate, where negotiations are now focused, John D. Rockefeller IV (W.Va.) said that a public option, as the plan has become known, is "a must." Sen. Russell Feingold (Wis.) said that "without a public option, I don't see how we will bring real change to a system that has made good health care a privilege for those who can afford it."

House Speaker Nancy Pelosi (Calif.) said that the plan will be included in whatever bill is voted on in the House. "There is strong support in the House for a public option," she said, though she did not demand that the administration express support for the idea.

One Democrat predicted that without the provision, the bill could lose as many as 100 votes in the chamber.

President Obama had pushed a nonprofit, government-sponsored insurance plan as an alternative to existing insurance companies, saying that a public program would compete with the industry and help reduce costs. Over the weekend, he minimized the importance of a public option, saying at an event in Colorado on Saturday that it was "just one sliver" of his overall effort to reduce health-care costs and expand coverage.

Two of his top advisers on Sunday reiterated that he is open to alternatives to a government plan, setting off a wave of reports about a White House shift and frustrating senior advisers.

White House press secretary Robert Gibbs, speaking to reporters returning to Washington from Phoenix, said Obama has not shifted his position, suggesting that the president's support for a public option had never been absolute. "The goals are choice and competition. His preference is a public option. If there are other ideas, he's happy to look at them," Gibbs said. White House officials repeatedly denied that there was any new positioning on the provision, accusing the media of fabricating developments.

Three House committees and one Senate panel have passed versions of health-care legislation that contain a public option.

White House officials sought to reassure Democratic groups and activists that they did not intend to rule out the public option, a position they are able to maintain, for now, because no final version of the bill exists. White House Deputy Chief of Staff Jim Messina told some groups involved in the effort that the administration's positions have not changed.

Democrats close to the White House said there is increasing pessimism about getting two Republicans who have been at the center of Senate Finance Committee negotiations -- Charles E. Grassley (Iowa) and Mike Enzi (Wyo.) -- to back the compromise measure that is expected to emerge from that panel. Those Democrats noted that dropping the public option may be necessary simply to win the votes of conservative Democrats such as Sen. Ben Nelson (Neb.), who has been wary of the provision.

John Sweeney, president of the AFL-CIO, said the union will continue pressing House and Senate negotiators to keep a public plan. "The only way to force real competition on the insurance companies is a strong public plan option," he said.

Rep. Anthony Weiner (D-N.Y.), a member of the House Energy and Commerce Committee, said Obama could lose up to 100 Democratic votes in the House by abandoning the option.

"I know the trade the administration made is they have gotten two or three senators, but they have lost dozens of House members," Weiner said.

Democracy for America, a grass-roots group started by former Vermont governor and 2004 presidential candidate Howard Dean and now run by his brother Jim, sent an e-mail to its supporters declaring "a healthcare bill without a public option is D.O.A. in the House. Period." Leaders of the Congressional Progressive Caucus, a group of the most liberal House members, threatened to oppose the bill if it does not include a public option.

Conservative Democrats in the House and Senate have been vague about whether they will support such an option, and the office of Senate Majority Leader Harry M. Reid (Nev.) made a statement Monday that largely echoed the White House language.

Reid "supports a public option in part because of the necessity to keep insurance companies in check," said spokesman Jim Manley. "However, he recognizes there are different proposals on the table that could accomplish that goal."

DaddyTorgo 08-18-2009 07:33 AM

Quote:

Originally Posted by SteveBollea (Post 2097433)
But, I do find it interesting that you think something that will cover less people, lower less costs, and have less leverage against the insurance companies is a "step in the right direction." Truly interesting.


This is why a public option (non co-op) is necessary. Cover more people, take more advantage of economies of scale to lower costs (less then true single-payer, but a step in the right direction), and have meaningful leverage against insurance companies.

Quote:

Originally Posted by Mizzou B-ball fan (Post 2097475)
It's becoming increasingly obvious that the Democrats have no one to blame but themselves for not getting some form of health care changes passed through Congress. It's awfully hard to blame the minority opposition for the lack of action when the Democrat aren't even able to provide a unified opinion at this point.

Some Key Democrats Say Public Option is Essential to Health-Care Reform - washingtonpost.com


I tend to agree at least to a point. Shameful.

JonInMiddleGA 08-18-2009 07:42 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2097475)
It's awfully hard to blame the minority opposition for the lack of action when the Democrat aren't even able to provide a unified opinion at this point.


Hush. Stop looking a gift horse in the mouth already.

Mizzou B-ball fan 08-18-2009 07:52 AM

Quote:

Originally Posted by DaddyTorgo (Post 2097478)
I tend to agree at least to a point. Shameful.


At this point, I'm not even sure the Republicans should be objecting in general. How are we to even know what they're objecting to when the Democrats aren't even sure which bill is going to be voted on? There's a wide difference between the multiple proposed bills at this point.

miked 08-18-2009 08:35 AM

Whether you're for public health care or not, or whatever these people are crying about, I really wish they'd leave their guns at home. I know it's some sort of constitutional right, but there can never be anything good coming from people shouting anti-Obama chants and carrying loaded firearms. All it takes is some crazies who aren't even carrying guns to some how get a hold of these. I can't understand what would inspire somebody to bring loaded assault rifles to a presidential rally...even if you're for gun rights.

DaddyTorgo 08-18-2009 08:37 AM

Quote:

Originally Posted by miked (Post 2097499)
Whether you're for public health care or not, or whatever these people are crying about, I really wish they'd leave their guns at home. I know it's some sort of constitutional right, but there can never be anything good coming from people shouting anti-Obama chants and carrying loaded firearms. All it takes is some crazies who aren't even carrying guns to some how get a hold of these. I can't understand what would inspire somebody to bring loaded assault rifles to a presidential rally...even if you're for gun rights.


I think the Secret Service (and by extension whoever gave them the order) is being far too permissive in allowing it. They had an ex secret service guy on one of the news shows last night and he said they can basically set whatever kind of policy they want - they could extend the security perimeter out as far as they wanted and make this a non-issue by saying "no firearms - loaded or unloaded, allowed inside this perimeter" but for whatever reason they aren't.

Mizzou B-ball fan 08-18-2009 09:00 AM

Quote:

Originally Posted by miked (Post 2097499)
Whether you're for public health care or not, or whatever these people are crying about, I really wish they'd leave their guns at home. I know it's some sort of constitutional right, but there can never be anything good coming from people shouting anti-Obama chants and carrying loaded firearms. All it takes is some crazies who aren't even carrying guns to some how get a hold of these. I can't understand what would inspire somebody to bring loaded assault rifles to a presidential rally...even if you're for gun rights.


The problem with permitting it is that they'll continue to push that envelope. I'm not sure where the line is crossed and a crackdown has to be made. Of course, they'll then raise a fuss at that point. It's similar to the Black Panthers showing up at the polling stations in Philadelphia last November. It appears the administration is willing to turn the other cheek as long as there is no physical confrontation, which I'm not a big fan of personally. I'm for the right to carry weapons, but both of these instances obviously are intimidation.

JonInMiddleGA 08-18-2009 09:09 AM

Quote:

Originally Posted by miked (Post 2097499)
I can't understand what would inspire somebody to bring loaded assault rifles to a presidential rally


Then you haven't been paying attention. The level of anger toward government continues to rise, particularly among people who may be inclined to do something more than put slogans on protest signs.

Yesterday's Arizona event was brilliantly conceived (and contrived for that matter) and you couldn't have bought a better picture than the one I posted. From a marketing standpoint that's one of the strongest images I've seen in years.

A little grudgingly, I'll give credit to the Secret Service and/or the administration (who could definitely influence how this is handled) for exercising some restraint. If they had gone hard at those folks, it would have ensured twice as many guns show up at the next opportunity & at some point it would backfire. Both sides really played their cards pretty well.

Autumn 08-18-2009 09:44 AM

Quote:

Originally Posted by Arles (Post 2097104)
Which country has 300 million people, with 2/3 of their adults listed as obese? If that country has a better plan, let's check it out!


Even if there are significant differences, there are things we can learn. There are plenty of people who spend their days studying the root causes of the health disparities in the U.S.. Other countries have modeled some of the ways we could get to better health.

Some of the differences between our country and others are the causes for health differences, some are the effects. For example, the family medicine model is proven to be more effective than a high rate of specialists visits, and most European countries feature a much higher number of family physicians than we have.

There's no reason for us not to use other countries' examples to improve our health care. It's not like we're required to copy another model to the letter.

flere-imsaho 08-18-2009 09:55 AM

For a site that pretty much revolves around discussions on mathematical modeling and scalability (albeit in another forum now)....

cartman 08-18-2009 09:58 AM

People upset with the government who bring assault rifles to a rally are the same in my book as someone who can't get a girlfriend bringing rope and chloroform to a beauty pageant.

Flasch186 08-18-2009 09:58 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2097513)
The problem with permitting it is that they'll continue to push that envelope. I'm not sure where the line is crossed and a crackdown has to be made. Of course, they'll then raise a fuss at that point. It's similar to the Black Panthers showing up at the polling stations in Philadelphia last November. It appears the administration is willing to turn the other cheek as long as there is no physical confrontation, which I'm not a big fan of personally. I'm for the right to carry weapons, but both of these instances obviously are intimidation.


thus you'll agree that your earlier insinuation that Congressman were simply using fear to cancel their town halls may have truly not been an excuse after all? :lol:

RainMaker 08-18-2009 10:02 AM

Quote:

Originally Posted by miked (Post 2097499)
I can't understand what would inspire somebody to bring loaded assault rifles to a presidential rally...even if you're for gun rights.

Being a raging pussy is one reason.

flere-imsaho 08-18-2009 10:02 AM

LOL... and... sigh:

Quote:

I’ll say this for George Bush: you’d never have caught him frantically negotiating against himself to take the meat out of a signature legislative initiative just because his approval ratings had a bad summer. Can you imagine Bush and Karl Rove allowing themselves to be paraded through Washington on a leash by some dimwit Republican Senator of a state with six people in it the way the Obama White House this summer is allowing Max Baucus (favorite son of the mighty state of Montana) to frog-march them to a one-term presidency?

DaddyTorgo 08-18-2009 10:05 AM

Quote:

Originally Posted by flere-imsaho (Post 2097566)


eh, he has a point. Baucus is a tool of the healthcare industry and insurance groups and the fact that he's dictating this whole thing is ridiculous and is a huge fuck-up.

flere-imsaho 08-18-2009 10:17 AM

Grassley, one of the "Baucus 6", went on the Sunday talk shows and basically said that even if they put together a "bipartisan" agreement amongst the 6 of them, but it wasn't supported by a majority of Republicans, he'd vote against it. His own bill.

This is the game the GOP is playing on this issue, just as they have on multiple issues before. Spread disinformation, hew strictly to talking points, stoop to no level too low (i.e. armed intimidation and outright lies), and actively pretend that you're being bipartisan when you have no intention there either.

In this game Pelosi & Reid are completely out-manned, and it's showing, badly. The gloves should have been taken off a while ago.

DaddyTorgo 08-18-2009 10:19 AM

yeah, Grassley's no saint in all this either. But man has this been bunglefucked probably beyond repair.

Mizzou B-ball fan 08-18-2009 10:21 AM

Quote:

Originally Posted by flere-imsaho (Post 2097587)
Grassley, one of the "Baucus 6", went on the Sunday talk shows and basically said that even if they put together a "bipartisan" agreement amongst the 6 of them, but it wasn't supported by a majority of Republicans, he'd vote against it. His own bill.

This is the game the GOP is playing on this issue, just as they have on multiple issues before. Spread disinformation, hew strictly to talking points, stoop to no level too low (i.e. armed intimidation and outright lies), and actively pretend that you're being bipartisan when you have no intention there either.

In this game Pelosi & Reid are completely out-manned, and it's showing, badly. The gloves should have been taken off a while ago.


But once again, this 'game' the GOP is playing wouldn't mean a hill of beans if the Democrats would bother to get their own party members on the same page. The Republicans should be little more than a 'vocal minority' at this point, but the disarray in the Democrats is allowing the Republicans to look like they have some form of control when they shouldn't have any.

molson 08-18-2009 10:22 AM

Both sides are trying to play politics. The Republicans aren't more evil just because they seem to be better at it.

Ronnie Dobbs2 08-18-2009 10:22 AM

The Republican Party has always proven itself to be good at letting the Democrats self-destruct.

Mizzou B-ball fan 08-18-2009 10:23 AM

Quote:

Originally Posted by DaddyTorgo (Post 2097589)
yeah, Grassley's no saint in all this either. But man has this been bunglefucked probably beyond repair.


Grassley's taking in just as much money as Baucus has.

Flasch186 08-18-2009 10:23 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2097591)
But once again, this 'game' the GOP is playing wouldn't mean a hill of beans if the Democrats would bother to get their own party members on the same page. The Republicans should be little more than a 'vocal minority' at this point, but the disarray in the Democrats is allowing the Republicans to look like they have some form of control when they shouldn't have any.


amazingly I disagree and it's the exact same way I felt when the dems were the minority and got locked out. Just because the GOP is the minority doesnt, IMO, mean they shouldnt have any input or say in matters. I just wish they would be genuine in their opposition instead of viewing it as a game.

JonInMiddleGA 08-18-2009 10:25 AM

Quote:

Originally Posted by RainMaker (Post 2097565)
Being a raging pussy is one reason.


I'm not too sure how that's your interpretation of a none too subtle reminder that that the right to bear arms gives a certain amount (albeit woefully insufficient) protection against the tyranny of government but ... okay, whatever works for you I guess.

molson 08-18-2009 10:26 AM

Quote:

Originally Posted by Flasch186 (Post 2097596)
ust because the GOP is the minority doesnt, IMO, mean they shouldnt have any input or say in matters.


America has voted Democrat though. Shouldn't that matter at all?

How far does this logic go? If the Democrats controlled 75% of both houses, do the Republicans still have to agree with everything? What if it was 100%? What if it's 60/20/20 with the emergence of a third party. Does everyone get a say?

Of course, ideally it wouldn't be viewed as 2 parties, but 100 Senators and 435 Representatives. Those are the 535 people that matter. Most of them, as far as I understand, feel a certain way about health care, and were elected by people that feel a certain way about health care, but they have to show deference to those who weren't voted in. Which is just weird.

DaddyTorgo 08-18-2009 10:27 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2097591)
But once again, this 'game' the GOP is playing wouldn't mean a hill of beans if the Democrats would bother to get their own party members on the same page. The Republicans should be little more than a 'vocal minority' at this point, but the disarray in the Democrats is allowing the Republicans to look like they have some form of control when they shouldn't have any.


Quote:

Originally Posted by Flasch186 (Post 2097596)
amazingly I disagree and it's the exact same way I felt when the dems were the minority and got locked out. Just because the GOP is the minority doesnt, IMO, mean they shouldnt have any input or say in matters. I just wish they would be genuine in their opposition instead of viewing it as a game.


I think you're both 50% right. The minority should have input/say in the matter, but if they're going to treat it like a "game" and not be genuine in their opposition than the majority should have their house in order enough to basically say to the American people "look - they're not engaging in a good faith effort to have actual input they're just screwing around so we're going to pass this thing anyways."

Both at fault.

JonInMiddleGA 08-18-2009 10:29 AM

Quote:

Originally Posted by Flasch186 (Post 2097596)
I just wish they would be genuine in their opposition instead of viewing it as a game.


I'd say you're missing a big point here. The opposition seems quite genuine in many cases (whether the reason is highly philosophical or entirely pragmatic), it's how you effectively discomfit your opponent that's largely a game or maybe more accurately requires gamesmanship.

Mizzou B-ball fan 08-18-2009 10:30 AM

Quote:

Originally Posted by Flasch186 (Post 2097596)
amazingly I disagree and it's the exact same way I felt when the dems were the minority and got locked out. Just because the GOP is the minority doesnt, IMO, mean they shouldnt have any input or say in matters. I just wish they would be genuine in their opposition instead of viewing it as a game.


Good point. Probably should not have used the phrase "shouldn't have any (control)" or should have clarified that if the Democrats wanted to pass it on partisan lines, they could without concern about the minority opinion. Like I said before though, it's getting difficult to even figure out what to oppose due to the lack of a unified position by the Democrats.

gstelmack 08-18-2009 10:31 AM

If only we had a media that cared about exposing corruption and fraud and presenting facts to the American people rather than just spending all their time regurgitating press releases...

miked 08-18-2009 10:31 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2097595)
Grassley's taking in just as much money as Baucus has.


Which is absolutely hilarious given what he did to an unnamed southern university. He's basically trying to lead the charge against drug company/university conflict of interest, all while on the take from lobbyists himself.

Mizzou B-ball fan 08-18-2009 10:34 AM

Quote:

Originally Posted by DaddyTorgo (Post 2097602)
I think you're both 50% right. The minority should have input/say in the matter, but if they're going to treat it like a "game" and not be genuine in their opposition than the majority should have their house in order enough to basically say to the American people "look - they're not engaging in a good faith effort to have actual input they're just screwing around so we're going to pass this thing anyways."

Both at fault.


Since when is there a need for a 'good faith effort' by anyone? Last I checked, anyone in Congress can sponsor a bill and put it up for a yea/nay vote. If it's a bill you agree with, you vote for it. If it's not, you don't vote for it. These claims that the Republicans somehow interfered with passage of Democrat-proposed legislation when they hold a wide majority aren't going to stand up at all, especially with Democrat leadership publicly feuding with each other on what should be in the bills.

JonInMiddleGA 08-18-2009 10:34 AM

Quote:

Originally Posted by gstelmack (Post 2097612)
If only we had a media that cared about exposing corruption and fraud and presenting facts to the American people rather than just spending all their time regurgitating press releases...


You say that as though there's a significant portion of the public that is more interested in the former than the latter. There isn't.

cartman 08-18-2009 10:35 AM

Quote:

Originally Posted by Mizzou B-ball fan (Post 2097615)
Last I checked, anyone in Congress can sponsor a bill and put it up for a yea/nay vote.


Wrong. Yes, anyone can sponsor a bill, but not just anyone can force a vote on the bill.


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